Disruptions in Accessing Women's Health Care Services: Evidence Using COVID-19 Health Services Disruption Survey

被引:14
作者
Padmaja, M. [1 ]
Behera, Deepak Kumar [2 ]
机构
[1] Natl Inst Technol Tiruhcirappalli, Dept Humanities & Social Sci, Tiruchirappalli 620015, Tamil Nadu, India
[2] Birla Global Univ, Birla Sch Social Sci & Humanities, Dept Econ, Bhubaneswar 751029, Odisha, India
关键词
COVID-19; Disruption; Contraception; Family planning; Women's health; Women's Organization; REPRODUCTIVE HEALTH; IMPACT;
D O I
10.1007/s10995-022-03585-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction The world is experiencing the Coronavirus pandemic and the aftermath consequences leading to lockdown and travel restrictions. The pandemic has brought a far-reaching impact on various sectors, including the economic, and health sectors. Therefore, this study analyses the possible impact of the COVID-19 pandemic on the disruption - in accessing family planning measures i.e. contraception facilities; and in seeking help from women organizations for health services.Methods This study has used the COVID-19 health services disruption survey-2020 and data was obtained from the Institute of Health Metrics and Evaluation. This survey was conducted in 76 countries using the smartphone-based premise data collection platform. Respondents were individual members of the general population ages 15-49 years who were identified as women. Data were collected from 12,354 respondents. Our data analysis has been done on both aggregate samples as well as region-wise samples (i.e. Africa, Asia, Europe, and Latin America & the Caribbean) to assess the change in levels of service delivery in both pre-COVID and post-COVID periods.Results Descriptive statistics results shows that two particular reasons - unable to access due to lockdown restrictions (5.4%), and fear of being infected with COVID-19 (9.7%) were reported as mostly impacting the access to contraception facilities due to lockdown restriction. Further, the logit regression using socio-economic and demographic variables suggests that geographical location (rural), and poor financial status turned out negative and significant, showing higher odds of facing difficulty than the reference category for the aggregate sample. The region-wise analysis suggests that Europe and Asia are the regions with the highest percentage of respondents reporting unavailability of services during COVID-19.Conclusion The study concludes that pandemic-related emergencies affect the health care system, especially women-related health care services. The implication of our study indicates the requirement of a supply chain strategy for managing health care demand during emerging situations. So, the disruptions and bottlenecks in health care facilities should be addressed by various governments through appropriate policies and interventions.
引用
收藏
页码:395 / 406
页数:12
相关论文
共 32 条
[1]  
Adelekan T., 2020, Wits J Clin Med., V2, P91, DOI [DOI 10.18772/26180197.2020.V2N2A7, 10.18772/26180197.2020.v2n2a7]
[2]   Contraception access during the COVID-19 pandemic [J].
Aly, Jasmine ;
Haeger, Kristin O. ;
Christy, Alicia Y. ;
Johnson, Amanda M. .
CONTRACEPTION AND REPRODUCTIVE MEDICINE, 2020, 5 (01)
[3]  
[Anonymous], 2020, Media statement
[4]   Reported Barriers to Healthcare Access and Service Disruptions Caused by COVID-19 in Burkina Faso, Ethiopia, and Nigeria: A Telephone Survey [J].
Assefa, Nega ;
Sie, Ali ;
Wang, Dongqing ;
Korte, Michelle L. ;
Hemler, Elena C. ;
Abdullahi, Yasir Y. ;
Lankoande, Bruno ;
Millogo, Ourohire ;
Chukwu, Angela ;
Workneh, Firehiwot ;
Kanki, Phyllis ;
Baernighausen, Till ;
Berhane, Yemane ;
Fawzi, Wafaie W. ;
Oduola, Ayoade .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2021, 105 (02) :323-330
[5]   Family planning: an essential health activity in the pandemic of SARS-CoV-2 [J].
Bahamondes, Luis ;
Makuch, Maria Y. .
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 2020, 25 (04) :319-320
[6]   The impact of COVID-19 on contraception and abortion care policy and practice: experiences from selected countries [J].
Bateson, Deborah J. ;
Lohr, Patricia A. ;
Norman, Wendy V. ;
Moreau, Caroline ;
Gemzell-Danielsson, Kristina ;
Blumenthal, Paul D. ;
Hoggart, Lesley ;
Li, Hang-Wun Raymond ;
Aiken, Abigail R. A. ;
Black, Kirsten I. .
BMJ SEXUAL & REPRODUCTIVE HEALTH, 2020, 46 (04) :241-243
[7]   Prioritization of government expenditure on health in India: A fiscal space perspective [J].
Behera, Deepak Kumar ;
Dash, Umakant .
SOCIO-ECONOMIC PLANNING SCIENCES, 2019, 68
[8]   Access to modern methods of contraception in Italy: Will the COVID-19 pandemic be aggravating the issue? [J].
Bellizzi, Saverio ;
Pichierri, Giuseppe ;
Napodano, Catello Mario Panu ;
Picchi, Sara ;
Fiorletta, Serena ;
Panunzi, Maria Grazia ;
Rubattu, Edoardo ;
Nivoli, Alessandra ;
Lorettu, Liliana ;
Amadori, Antonella ;
Padrini, Susanna ;
Ronzoni, Anna Rita .
JOURNAL OF GLOBAL HEALTH, 2020, 10 (02)
[9]   Mapping Evidence of Impacts of COVID-19 Outbreak on Sexual and Reproductive Health: A Scoping Review [J].
Bolarinwa, Obasanjo Afolabi ;
Ahinkorah, Bright Opoku ;
Seidu, Abdul-Aziz ;
Ameyaw, Edward Kwabena ;
Saeed, Balsam Qubais ;
Hagan Jr, John Elvis ;
Nwagbara, Ugochinyere Ijeoma .
HEALTHCARE, 2021, 9 (04)
[10]   Does the COVID-19 Pandemic Impact Reproductive Health? [J].
Carneiro Gomes Ferreira, Ana Laura ;
Medeiros Correa, Maria Suely ;
Pedrosa, Evelyne Nascimento ;
Carvalho da Silva, Flavia Anchielle ;
Hazin-Costa, Manuela Freire ;
Souza, Ariani Impieri .
REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA, 2020, 42 (11) :774-775